GIPSA full form is General Insurance Public Sector Association. As the name suggests, it is an association and it comprises 4 public sector general insurance companies namely,
The full form of GIPSA is General Insurance Public Sector Association.
GIPSA association created a network of hospitals across India to standardize pricing for certain medical procedures. This network of hospitals is called PPN. Now, when a policyholder goes to any hospital in the PPN network, the prices will be same for certain medical procedures like kidney stones, angioplasty, hysterectomy, etc.
PPN full form is Preferred Provider Network.
GIPSA provides cashless services in hospitals that accept their policies and prices and join the Preferred Provider Network (PPN). It requires hospitals to accept GIPSA rules and work on standardized rates. Those who accept this fall under the GIPSA umbrella and can be called PPN.
Advantage: GIPSA makes health insurance becomes cost-effective for the general public. The insurance holders will not be charged more than what is due, thereby diminishing the scope of higher chargeable amounts. Experts have opined that in the long run, higher customer premiums will be paid. GIPSA will greatly reduce costs for customers as well as companies.
Reimbursement claim: Hospitals that come under GIPSA are required to charge their customers on the basis of standardization of rates only. If any insurance-holder faces higher rates through PPN, they can raise their grievance with their insurance company. In addition to that, reimbursement claims, if asked, can be done only as per the GIPSA rate in a PPN hospital.
The main idea behind the advent of GIPSA is to provide a safety net to customers. Very often, hospitals might charge more than the actual amount, therefore to protect the customers from paying more, GIPSA ensures standardized rates for basic medical procedures.
Getting GIPSA empaneled means getting into the PPN of the Public Insurers. Hospitals can fill and submit GIPSA empanelment forms from the public insurers along with the documents asked by them. You can find the form and the list of documents required on the website of the insurance companies.
